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Organization

INTEGRATED MATRIX ANESTHESIA SERVICES LLC

Active
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Organization

INTEGRATED MATRIX ANESTHESIA SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANE L MARTIN MD (MANAGER)
(602) 328-0382
Entity
Organization

Contact information

Practice address
20401 N 73RD ST STE 155, SCOTTSDALE, AZ 85255-4149
(602) 328-0382
Mailing address
2801 CENTERVILLE ROAD, PMB 642, WILMINGTON, DE 19808

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/17/2017
Last updated
08/17/2017
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